The Lyons Manor

LBN: The Lyons Manor
The Lyons Manor is an health care organization with primary practice located at 1102 Lyons St , Redwood City CA 94061-2263. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. The Lyons Manor can be contacted via phone (650) 299-0738, or through Ruiz, Yolanda Torres via phone (650) 299-0738.

Contact Information

Primary practice address
1102 Lyons St Redwood City CA 94061-2263
Phone: (650) 299-0738
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Yolanda Torres
Phone: (650) 299-0738

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 220000318 California

Profile Details

NPI number 1912179805
LBN Legal business name The Lyons Manor
DBA Doing business as
Authorized official Ruiz, Yolanda Torres
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 31st, 2008
Last updated May 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912179805 NPPES
California MEDICAID LTC 60665F

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